Use of the hybrid operating room for aortic valve replacement in a patient with anomalous left circumflex artery  Ramanan Umakanthan, MD, Zachary E. Brewer,

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Use of the hybrid operating room for aortic valve replacement in a patient with anomalous left circumflex artery  Ramanan Umakanthan, MD, Zachary E. Brewer, BS, John G. Byrne, MD, Rashid M. Ahmad, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 6, Pages e123-e125 (June 2010) DOI: 10.1016/j.jtcvs.2009.04.048 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intraoperative image demonstrating sutures placed through the sewing ring, brought outside the aorta, and tied over a pledget. The anatomic course of the anomalous left circumflex artery (LCX) is labeled with the black arrow. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e123-e125DOI: (10.1016/j.jtcvs.2009.04.048) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative coronary angiogram demonstrating patency of the anomalous left circumflex artery (LCX) after completion of the procedure. The origin of the anomalous LCX is labeled with the black arrow. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e123-e125DOI: (10.1016/j.jtcvs.2009.04.048) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions